Tracy A. Bloom, RN

Registered Nurse · Commack, NY

Individual Active NPI

NPI number 1982747853

Practice location

62 Pawnee Dr
Commack, NY 11725-4222
Phone
(631) 864-6402

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NPI record

NPI
1982747853
Entity type
Individual (Type 1)
Enumeration date
February 14, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 509923-1 NY

About Tracy Bloom

Tracy A. Bloom, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 62 Pawnee Dr, Commack, NY 11725-4222. The NPI number 1982747853 was assigned on February 14, 2007 and the record was last updated on July 8, 2007.

Tracy Bloom lists a license in the registry: #509923-1 (NY) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy A. Bloom, RN?

The NPI number is 1982747853.

What is the phone number of Tracy Bloom?

The phone number listed for the practice location is (631) 864-6402.

Where is Tracy Bloom located?

62 Pawnee Dr, Commack, NY 11725-4222.

What is the taxonomy code for Tracy Bloom?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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